Refills For Current REV Clients

If you need a refill of your medication or supplies, please complete the form below.

-We will reply with an online Invoice (for your security, we no longer save credit card info)

-Delivery is typically 2-3 business days. Same day processing and next day (Overnight) delivery is available for a $50 service charge - restrictions apply.

-Most medications arrive ‘on ice’ and need to be refrigerated upon receipt - let us know if a certain delivery date isn’t good for you in the Additional Info section below. “Powdered” Trimix products can take up to two weeks for delivery.

If you have questions please email us at hello@revformen.com, call us (917) 397-4738

Name *
Name
Date of Birth *
Date of Birth